EP2189124A1 - Implant à saillie en tige - Google Patents

Implant à saillie en tige Download PDF

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Publication number
EP2189124A1
EP2189124A1 EP08020138A EP08020138A EP2189124A1 EP 2189124 A1 EP2189124 A1 EP 2189124A1 EP 08020138 A EP08020138 A EP 08020138A EP 08020138 A EP08020138 A EP 08020138A EP 2189124 A1 EP2189124 A1 EP 2189124A1
Authority
EP
European Patent Office
Prior art keywords
spinous process
implant according
support
process implant
implant
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP08020138A
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German (de)
English (en)
Inventor
Christian Röbling
Rolf Ackermann
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to EP08020138A priority Critical patent/EP2189124A1/fr
Priority to US12/622,076 priority patent/US20100131009A1/en
Publication of EP2189124A1 publication Critical patent/EP2189124A1/fr
Withdrawn legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7062—Devices acting on, attached to, or simulating the effect of, vertebral processes, vertebral facets or ribs ; Tools for such devices
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7071—Implants for expanding or repairing the vertebral arch or wedged between laminae or pedicles; Tools therefor

Definitions

  • the invention relates to a spinous process implant according to the preamble of patent claim 1.
  • Degeneration of the spine which occurs in particular with increasing age, often leads to a lumbar spinal stenosis. This is a narrowing of the spinal canal and intervertebral spaces (foramina intervertebralia) generally as a result of disc degeneration. Typical symptoms include nervous pain in the back and legs and, in more severe cases, paralysis in the legs.
  • implants can be inserted between the spinous processes of the affected vertebrae for a long-term therapy.
  • a spacer which is inserted between the spinous process of the upper cranial vertebra and the spinous process of the subsequent lower caudal vertebra.
  • the spacer is inserted laterally between the spinous processes, with its longitudinal axis substantially perpendicular to the median sagittal plane, d. H. is arranged to the body center plane.
  • a spinous process implant in which the spacer is substantially a cylindrical body which is inserted between the spinous processes and secured against a lateral displacement in its longitudinal axis by wings arranged at its two lateral ends becomes.
  • a unilateral insertion of the implant is not possible because the spacer is inserted with a wing from one side and then the second wing must be placed on the other side of the spinous process.
  • a unilaterally implantable implant is sold by Kyphon under the name "Aperius".
  • This implant has a tubular spacer with two spaced dilution zones. The spacer is inserted unilaterally between the spinous processes and then compressed in the longitudinal direction so that the dilution zones are deformed into radially projecting wings which keep the spacer positioned on either side of the spinous processes.
  • spinous process implants have in common that the spacer has a predetermined diameter. Depending on the anatomical conditions therefore spacers must be used with different diameters. On the one hand, therefore, in a first surgical step, the interspinous space must be measured in order to be able to select the suitable spacer. In addition, the spacer must be available in different sizes.
  • EP 1 330 987 B1 is a spinous process implant described in which a closed spring band is used as a spacer, which has substantially the shape of a symmetrical to the sagittal plane eight.
  • the implant is attached to the respective spinous processes with fastening straps.
  • the implant thus fixes the spinous processes of the successive vertebrae to one another, so that a flexion of the spinal column is possible only within the narrow limits of the elastic deformability of the implant.
  • that must be Implant can be selected in each case in a size adapted to the anatomical conditions.
  • the invention is based on the object to provide a spinous process implant, which can be easily implanted and can be used for different anatomical conditions.
  • the essential idea of the invention is to use as a spacer, which is inserted between the spinous processes, not a body with a predetermined fixed diameter, but a spacer having two support means which can be spread apart.
  • the support means lie against each other at a small distance, so that the spacer has only a small diameter.
  • the support means are spread apart, so that increases their distance.
  • the upper support means thereby attach to the upper cranial spinous process and the lower support means to the subsequent lower caudal spinous process.
  • the spacer can adapt to the respective anatomical conditions and it is not necessary different spacers for different dimensions of the interspinous space.
  • the support means serve clamping devices. These are between the support means in the longitudinal axis of the implant, ie arranged in the axis perpendicular to the median sagittal plane axis and engage the two lateral ends of the support means. This allows a unilateral insertion of the implant.
  • the implant can be inserted unilaterally between the spinous processes by a percutaneous incision and then spread by the unilateral actuation of the clamping means and positioned and fixed between the spinous processes.
  • the support means each have a recessed saddle which forms a receptacle for the respective spinous process.
  • the support means abut in the spread state on the respective spinous process, so they lie down with this saddle over a peripheral region on the circumference of the spinous process, whereby the support means and thus the entire implant positively against lateral displacement, ie against displacement in the sagittal plane vertical longitudinal axis of the implant are secured.
  • the implant therefore does not require additional wings or other measures to secure against lateral displacement with respect to the spinous processes. This simplifies the design and in particular facilitates the surgical technique when inserting the implant.
  • the support means are designed as spring leaves, the lateral ends are contracted by the clamping means, so that the spring leaves bulged upward and downward convex and spread apart.
  • the support means are formed as support plates, which are pivoted on actuation of the clamping means from its insertion position up or down, so that increases their distance.
  • an upper and a lower support plate can be hinged to the two lateral ends, whose against each other directed free ends are pivoted from the longitudinal axis upwards or downwards.
  • the clamping means are telescopic in an easy-to-use design. By telescoping, the lateral ends can be moved towards each other to spread the support means. The telescopic pushing together can be done unilaterally by means of a self-locking thread.
  • the clamping means can also be formed telescopically telescopically freely, wherein the two telescopic parts engage in the respective spread position against the back pressure of the spinous processes. In a further development of the invention, the telescopic parts can be further pushed into each other by an adjusting force to further spread the proppant to the implant, z. B. in bone resorption to adapt to the increasing distance of the spinous processes.
  • the spinous process implant serves to keep the spinous processes (processus spinosus) of two successive vertebrae, in most cases vertically spaced, two lumbar vertebrae.
  • the implant is inserted between the spinous processes from lateral to medial and positioned so that the longitudinal axis of the implant is substantially perpendicular to the median sagittal plane of the patient, i. H. is arranged to the body center plane.
  • the following information refers to the implanted location of the implant. Accordingly, the cranial or caudally directed sides of the implanted implant are referred to as "top” or "bottom”. Accordingly, "lateral" and “right” or “left” designate the regions lying laterally of the median sagittal plane when the implant is implanted.
  • the implant has upper and lower Supporting means, which are each formed as a spring leaf 10.
  • the upper spring leaf 10.1 and the lower spring leaf 10.2 are in their form identical parts, however, which are arranged around the longitudinal center axis of the implant rotated by 180 ° from each other.
  • the spring leaves 10 have the shape of an elongated flat band, which is form-elastic, ie, although its shape retains, but is deformable against a relatively strong elastic restoring force.
  • the spring leaves 10 are for this purpose made of a suitable biocompatible material, for example of a metal, in particular titanium alloy, or of a suitable plastic, for example PEEK.
  • the spring leaves 10 have for example a length of 15 to 30 mm, preferably from 20 to 25 mm, a width of 4 to 8 mm and a thickness of 0.8 to 1.2 mm.
  • the spring leaves 10 are bulged convexly in their longitudinal direction as a flat sheet upwards or downwards. In the middle region of its longitudinal extent, the spring leaves 10 have a concave, concavely curved depression, which forms a saddle 12. At its two lateral end edges, the spring leaves 10 incisions, so that axially projecting teeth 14 are formed. When the two spring leaves 10.1 and 10.2 are joined together rotated through 180 °, the teeth 14 of the respective lateral ends of the two spring leaves 10.1 and 10.2 engage in an interlocking manner, so that the lateral ends of the two spring leaves 10.1 and 10.2 cross each other, as shown in FIGS Figures 2 and 3 you can see.
  • the clamping means consist of an outer tube 16 and a telescopically engaging in the outer tube 16 inner bolt 18.
  • Das Outer tube 16 and the inner pin 18 engage in each case by central axial incisions 20 of the lateral end edges of the spring leaves 10.
  • At the opposite lateral ends of the outer tube 16 and the inner pin 18 is in each case an end piece 22 and 24 respectively.
  • the end pieces 22 and 24 have the shape of a roller whose axis is perpendicular to the axis of the outer tube 16 and the inner pin 18.
  • the end pieces 22 and 24 are each laterally from the outside in the crotch of the crossing and entangled lateral ends of the spring leaves 10.1 and 10.2.
  • the outer tube 16 and the inner pin 18 are moved apart with the end pieces 22 and 24 in the central axis of the implant laterally outwards.
  • the spring leaves 10.1 and 10.2 are thus stretched flat due to their elastic dimensional stability, so that they rest with the mutually facing inner surfaces of the saddle 12 on the clamping means, ie in particular on the outer tube 16.
  • the entire implant has only a height of about 5 to 7 mm in this insertion position. In this insertion position, the implant is inserted between the spinous processes of two successive vertebrae.
  • a percutaneous incision is made unilaterally and parallel to the median plane of the patient and the interspinal space between the spinous processes is dissected free.
  • the implant is inserted from lateral to medial between the spinous processes and positioned in the interspinous space as close as possible to the vertebral arch.
  • the implant is thereby positioned so that the central axis, ie the axis of the clamping means, namely the outer tube 16 and the inner pin 18 extends substantially perpendicular to the median sagittal plane.
  • the upper spring leaf 10.1 is with his saddle 12th directed against the spinous process of the upper vertebra and the lower spring leaf 10.2 with its saddle 12 against the spinous process of the lower vertebra.
  • the tensioning means are actuated by coaxially moving the inner pin 18 and the outer tube 16 together and thereby pulling the end pieces 22 and 24 together in the lateral direction.
  • the end pieces 22 and 24 which are to be moved toward one another, the folded lateral ends of the spring leaves 10.1 and 10.2 are pulled against each other, so that the spring leaves 10.1 and 10.2 bulge convexly upwards or downwards and are spread apart in the vertical direction. This spread is in FIG. 2 shown.
  • the spring leaves 10.1 and 10.2 they are pressed against the respective spinous processes in order to distract them in the desired manner.
  • the implant Since the spinous processes are in each case in the saddle 12 of the upper and the lower spring leaf 10, the implant is secured against a displacement in the lateral direction substantially in a form-fitting manner. In the medial sagittal plane, ie in the plane perpendicular to the clamping means, the implant is secured by the anatomical concavity of the spinous processes.
  • the clamping of the clamping means can be realized in different ways.
  • the inner pin 18 engages with a thread 26 in an internal thread of the outer tube 16.
  • the thread 26 is formed self-locking.
  • the end piece 22 may be firmly connected to the outer tube 16 while the inner pin 18, the tail 24 passes through freely rotatable.
  • the inner pin 18 is supported axially with a screw head on the end piece 24 and is rotatable by means of this screw head from the lateral end side to tension the clamping means.
  • the Self-locking of the thread 26 ensures that the implanted implant remains in the cocked and spread apart position.
  • the inner pin 18 can be screwed out of the outer tube 16 again, so that the implant again reaches the insertion position. Further, the implant can be tightened in a minimally invasive intervention by means of the screw head, when the distance between the spinous processes, z. B. as a result of bone loss, increased.
  • FIGS. 5 to 9 a second embodiment of the spinous process implant is shown.
  • the support means are formed as support plates 32. There are at the top of a left support plate 32.1 and a right support plate 32.2 and correspondingly provided at the bottom of a left support plate 32.3 and a right support plate 32.4.
  • the support plates 32.1, 32.2, 32.3 and 32.4 all have an identical shape.
  • the support plates 32 are made of a suitable biocompatible dimensionally stable material, for example of metal, in particular a titanium alloy or preferably of a suitable plastic, in particular PEEK.
  • the identical shape of the support plates 32.1, 32.2, 32.3 and 32.4 is advantageous in terms of manufacturing costs.
  • the support plates 32 have the shape of a longitudinally elongated plate whose length is about 15 to 30 mm and the width of about 4 to 8 mm. The material thickness is about 1 to 2 mm.
  • the support plates 32 are each articulated on lateral end pieces 34 and 36, wherein the end pieces 34 and 36 via clamping means in the lateral direction against each other can be pulled.
  • the end pieces 34 and 36 have substantially the same shape of a block.
  • the support plates 32 have at their respective end mounted in the recess 38 on the recess 38 a filling width. A larger width, the support plates 32 at its other free end. In their longitudinally central region, the support plates 32 each have on their one side edge on a lateral cutout 42, which engages up to about half of the width of the support plates 32 in this.
  • the cutout 42 forms a sliding edge 44, which runs parallel to the pivot axis 40 and thus perpendicular to the longitudinal extension of the support plate 32.
  • the shape of the support plates 32 is best in FIG. 9 to recognize.
  • the support plates 32.1 and 32.2 on the upper side and the support plates 32.3 and 32.4 on the underside are each rotated by 180 ° against each other at the respective end pieces 34 and 36 pivotally mounted.
  • the left support plate 32.1 and the right support plate 32.2 engage the top and also the left support plate 32.3 and the right support plate 32.4 at the bottom each with their cutouts 42 into each other.
  • the left support plate 32.1 lies with its narrow central region in the cutout 42 of the right support plate 32.2 and rests on the sliding edge 44 of this right support plate 32.2.
  • the right support plate 32.2 engages with its central region in the cutout 42 of the left support plate 32.1 and rests on the sliding edge 44 thereof. Accordingly, the arrangement for the lower support plates 32.3. and 32.4.
  • the tensioning means can also be telescopic tensioning means in this second embodiment, which have an outer tube 16 arranged on the one end piece 34 and an inner pin 18 arranged on the other end piece 36.
  • the clamping means with the outer tube 16 and the inner pin 18 are arranged in the central axis of the implant.
  • guide means are arranged on both sides of the tensioning means, which prevent a mutual rotation of the end pieces 34 and 36 and the support plates 32 mounted thereon about the central axis of the tensioning means.
  • the guide means each consist of a guide tube 46 arranged on the one end piece 34 and of a guide rod 48 arranged on the other end piece 36.
  • the guide rods 48 are each guided axially slidably in the guide tubes 46.
  • the guide means formed from the guide tubes 46 and the guide rods 48 are arranged axially parallel to the clamping means and at the same distance from them.
  • the end pieces 34 and 36 are laterally moved apart.
  • the above their cutouts 42 entangled upper support plates 32.1 and 32.2 and also over their cutouts 42 entangled lower support plates 32.3 and 32.4 are in this insertion on each other, so that the total height of the implant in the vertical direction is low, eg 5 to 7 mm is.
  • the implant can be in this insertion position introduced unilaterally into the interspinal space between the spinous processes of two successive vertebrae, as described above.
  • the implant is positioned in the interspinous space such that the implant is laterally symmetrical to the median sagittal plane and the upper support plates 32.1 and 32.2 face the upper spinous process and the lower support plates 32.3 and 32.4 face the lower spinous process.
  • the clamping means are actuated, in which, for example, the inner pin 18 and the outer tube 16 are telescoped together.
  • the end pieces 34 and 36 are contracted in the lateral direction.
  • the upper support plates 32.1 and 32.2 and correspondingly the lower support plates 32.3 and 32.4 are moved against each other.
  • the upper support plates slide 32.1 and 32.2 on the sliding edge 44 of the other support plate 32.2 and 32.1 and also slide the lower support plates 32.3 and 32.4 against each other.
  • the free end of the left support plate 32.1 is pivoted from the right end piece 36, while conversely, the free end of the right support plate 32.2 is pivoted from the left end piece 34.
  • the free ends of the lower support plate 32.3 and 32.4 are pivoted away from the respective end pieces 36 and 34, respectively.
  • This spread is in FIG. 6 shown.
  • the swung-up support plates 32 put on the respective spinous processes in order to distract them ,
  • the spinous processes lie in each case in the saddle 12 formed between the free ends of the upper and the lower support plates 32, so that the implant is held against lateral displacements form fit to the spinous processes.
  • the tensioning of the clamping means can also take place in the second embodiment in the same way as in connection with the first execution of the FIGS. 1 to 4 is described. Accordingly, the inner pin 18 can be screwed with a self-locking thread in the outer tube 16.
  • FIG. 10 An alternative embodiment of the clamping means is in FIG. 10 shown.
  • the inner bolt 18 is formed with locking teeth 50 at its periphery, which engage in locking receptacles 52 on the inner circumference of the outer tube 16.
  • the locking teeth 50 and the locking receptacles 52 are formed so that for tensioning the clamping means of the inner bolt 18 can be pressed into the outer tube 16, while the detent prevents withdrawal of the inner bolt 18 from the outer tube 16.
  • the pitch of the locking teeth 50 and the locking receptacles 52 determines the respective spread position of the implant. It is understood that this latching design of the clamping means can also be used in the first embodiment of the implant, which in the FIGS. 1 to 4 is shown.
  • FIG. 10 An embodiment of the clamping means, wherein these engage in successive clamping positions, as for example in FIG. 10 is shown, allows a re-tensioning of the implant, z. B. in bone loss and bone resorption by an adjusting force which presses the inner pin 18 axially in the outer tube 16 to provide the spread position by a detent position.
  • this adjusting force can also be introduced mechanically in a minimally invasive manner, as is the case with an adjustment by means of a thread. It is also possible to initiate the adjusting force via an injection hydraulically or pneumatically or inductively-electrically. An automatic readjustment can be effected by an integrated Nachstellfederkraft.
  • Such adjusting spring force acts on the tensioning means in the tensioning direction, ie in the direction in which the support means are spread apart.
  • the spinous processes support the support means against this additional Nachstellfederkraft. If the spinous processes give way due to bone loss, then the Nachstellfederkraft effectively and operates the clamping means in such a way that the support means are further spread and come back to rest on the spinous processes.
  • the Nachstellfederkraft can be effected, for example, by spring means in the clamping means or in the execution of FIGS. 5 to 9 optionally also integrated in the guide means.
  • Such spring means may for example consist of a tension spring, which is inserted into the outer tube 16 and the guide tubes 46 and engages the inner pin 18 and the guide rods 48 and the inner pin 18 in the outer tube 16 and the guide rods 48 in the guide tubes 46th pulls in.
  • compression springs can be provided which press the inner pin 18 into the outer tube 16 or vice versa, the outer tube 16 via the inner pin 18 and respectively press the guide rods 48 and the guide tubes 46 into each other.
  • Such spring means may in particular also consist of a memory alloy.
  • the spring means can be kept at the onset of the implant at a low temperature, in which they are relaxed and not act on the clamping means. Only when the implant after insertion warms up to the body temperature of the patient, the memory spring means go into the state in which they cause the Nachstellfederkraft.

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  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Neurology (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
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  • Prostheses (AREA)
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EP08020138A 2008-11-19 2008-11-19 Implant à saillie en tige Withdrawn EP2189124A1 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP08020138A EP2189124A1 (fr) 2008-11-19 2008-11-19 Implant à saillie en tige
US12/622,076 US20100131009A1 (en) 2008-11-19 2009-11-19 Spinous process implant spacer and method of use therefor

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Application Number Priority Date Filing Date Title
EP08020138A EP2189124A1 (fr) 2008-11-19 2008-11-19 Implant à saillie en tige

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EP2189124A1 true EP2189124A1 (fr) 2010-05-26

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Cited By (2)

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US10617530B2 (en) 2011-07-14 2020-04-14 Seaspine, Inc. Laterally deflectable implant
US12029655B2 (en) 2020-04-13 2024-07-09 Seaspine, Inc. Laterally deflectable implant

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US8167944B2 (en) 2004-10-20 2012-05-01 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US8123807B2 (en) 2004-10-20 2012-02-28 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8317864B2 (en) 2004-10-20 2012-11-27 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US8152837B2 (en) 2004-10-20 2012-04-10 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US8273108B2 (en) 2004-10-20 2012-09-25 Vertiflex, Inc. Interspinous spacer
US7763074B2 (en) 2004-10-20 2010-07-27 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for posterior dynamic stabilization of the spine
US9023084B2 (en) 2004-10-20 2015-05-05 The Board Of Trustees Of The Leland Stanford Junior University Systems and methods for stabilizing the motion or adjusting the position of the spine
US9161783B2 (en) 2004-10-20 2015-10-20 Vertiflex, Inc. Interspinous spacer
US8409282B2 (en) 2004-10-20 2013-04-02 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US9119680B2 (en) 2004-10-20 2015-09-01 Vertiflex, Inc. Interspinous spacer
US8425559B2 (en) 2004-10-20 2013-04-23 Vertiflex, Inc. Systems and methods for posterior dynamic stabilization of the spine
US8128662B2 (en) 2004-10-20 2012-03-06 Vertiflex, Inc. Minimally invasive tooling for delivery of interspinous spacer
CA2701050A1 (fr) 2004-12-06 2009-07-09 Vertiflex, Inc. Instrument d'insertion d'un ecarteur
US8845726B2 (en) 2006-10-18 2014-09-30 Vertiflex, Inc. Dilator
EP2155121B1 (fr) 2007-04-16 2015-06-17 Vertiflex, Inc. Espaceur interspinal
CA2711955C (fr) 2008-01-15 2016-05-17 Vertiflex, Inc. Ecarteur interepineux
WO2011084477A2 (fr) 2009-12-15 2011-07-14 Vertifex, Inc. Écarteur vertébral pour vertèbres cervicales et autres vertèbres, et systèmes et procédés associés
DE102010000231A1 (de) * 2010-01-27 2011-07-28 Aesculap AG, 78532 Implantat zur gegenseitigen Abstützung der Dornfortsätze benachbarter Wirbelkörper sowie chirurgisches System
DE102010000230A1 (de) * 2010-01-27 2011-07-28 Aesculap AG, 78532 Chirurgisches Instrumentarium
CA2804723A1 (fr) 2010-07-15 2012-01-19 Nlt Spine Ltd. Systemes et procedes chirurgicaux permettant d'implanter des implants deformables
TWI445523B (zh) * 2011-12-09 2014-07-21 Metal Ind Res & Dev Ct 脊椎籠型支架
EP2606860B1 (fr) * 2011-12-22 2016-07-20 Biedermann Technologies GmbH & Co. KG Implant intervertébral expansible
US8696752B2 (en) * 2011-12-30 2014-04-15 Metal Industries Research & Development Centre Interbody cage for spine fusion
EP2846717B1 (fr) 2012-05-11 2016-08-24 Aesculap AG Implant pour stabiliser des apophyses épineuses
EP2742914A1 (fr) * 2012-12-14 2014-06-18 FACET-LINK Inc. Implant de fusion intervertébral réglable en hauteur en continu
US9675303B2 (en) 2013-03-15 2017-06-13 Vertiflex, Inc. Visualization systems, instruments and methods of using the same in spinal decompression procedures
US10149770B2 (en) 2013-07-09 2018-12-11 Seaspine, Inc. Orthopedic implant with adjustable angle between tissue contact surfaces
US9820865B2 (en) 2013-10-31 2017-11-21 Nlt Spine Ltd. Adjustable implant
EP3079637B1 (fr) 2013-12-11 2018-03-21 NLT Spine Ltd. Implants orthopédiques actionnés par une vis sans fin.
EP3139848A4 (fr) 2014-05-07 2018-06-13 Vertiflex, Inc. Systèmes de décompression du nerf spinal, systèmes de dilatation, et leurs procédés d'utilisation
WO2015198335A1 (fr) 2014-06-25 2015-12-30 Nlt Spine Ltd. Implant expansible avec bras articulés
WO2017192627A1 (fr) * 2016-05-02 2017-11-09 Spinal Simplicity, Llc Corps intervertébral avec éléments de fusion compressive
FR3110074A1 (fr) * 2020-05-14 2021-11-19 Cousin Biotech Dispositif implantable, notamment de type espaceur intervertébral

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WO2007109409A1 (fr) * 2006-03-16 2007-09-27 Warsaw Orthopedic, Inc. Dispositif deployable pour une insertion entre des structures anatomiques et son procede d'utilisation
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EP1330987B1 (fr) 2002-01-28 2005-03-09 Industrias Quirurgicas De Levante S.L. Implant vertebral inter-épineux
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US10617530B2 (en) 2011-07-14 2020-04-14 Seaspine, Inc. Laterally deflectable implant
US12029655B2 (en) 2020-04-13 2024-07-09 Seaspine, Inc. Laterally deflectable implant

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